| Illini Smiles Dental Care P.c. | |
|
730 Enterprise Rantoul IL 61866-3689 | |
| (217) 364-7235 | |
| Not Available |
| Full Name | Illini Smiles Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 730 Enterprise, Rantoul, Illinois |
| Authorized Official Name and Position | Yudong Xu (PRESIDENT) |
| Authorized Official Contact | 2173647235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illini Smiles Dental Care P.c. 2803 Cherry Hills Dr Champaign IL 61822-7541 Ph: () - | Illini Smiles Dental Care P.c. 730 Enterprise Rantoul IL 61866-3689 Ph: (217) 364-7235 |
| NPI Number | 1417208455 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417208455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026810 (Illinois) | Primary |